Provider Demographics
NPI:1235121435
Name:KUEBLER, AMY SUSAN (APNP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:SUSAN
Last Name:KUEBLER
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:FRANTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 W GLEN ST
Mailing Address - Street 2:
Mailing Address - City:CRANDON
Mailing Address - State:WI
Mailing Address - Zip Code:54520-1355
Mailing Address - Country:US
Mailing Address - Phone:715-478-6300
Mailing Address - Fax:715-478-6340
Practice Address - Street 1:400 W GLEN ST
Practice Address - Street 2:
Practice Address - City:CRANDON
Practice Address - State:WI
Practice Address - Zip Code:54520-1355
Practice Address - Country:US
Practice Address - Phone:715-478-6300
Practice Address - Fax:715-478-6340
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2174-033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
P74977Medicare UPIN